(DATE CHANGED from Aug 18 to Oct 21) A robust pre-billing clinical record audit program to assess the Conditions for Coverage/Payment prior to billing is the #1 way for hospices to mitigate payment-related scrutiny. Weatherbee’s 7-part series will include step-by-step instructions on developing a pre-billing clinical record audit program and the 4 primary auditing focus areas, as follows:

• Assessing technical eligibility for payment;
• Assessing clinical eligibility for payment;
• Assessing payment for the General Inpatient (GIP) and Continuous Home Care (CHC) levels of care; and
• Assessing hospice physician documentation sufficiency

Weatherbee will also discuss the billing implications when deficiencies are identified during the pre-billing audit and how to “close the loop” to address any identified trends that impact payment-related compliance.

Objectives:

• Recall the definition of a pre-billing clinical record audit
• Discuss the inherent risks of conducting post-billing clinical record audits
• Evaluate potential gaps in the hospice’s current payment-related audits (e.g., technical, clinical, higher levels of care, etc.)
• Identify stakeholders and needs for next steps

None of the planners and presenters for this educational activity have relevant financial relationship(s) to disclose with ineligible companies whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients.

Weatherbee Resources / Relias, LLC will be transparent in disclosing if any sponsorship or joint providership is present prior to the learner completing the course.

FOR THOSE SEEKING CONTINUING EDUCATION CREDIT:  Criteria for Judging Successful Completion - Participants will only receive CE credit if they sign in and remain present for the entire educational event. Partial credit will not be given.

Once the conference is over, the participant will be required to complete an online evaluation. Once the participant completes the evaluation, a certificate will be available for the participant to print/download/save.

TARGET AUDIENCE: The target audience for this course is: Executive Directors, Hospice Medical Directors and Team Physicians, Clinical Managers, Corporate Compliance Officers, QAPI Coordinators, the Interdisciplinary Group, and others.

DISABILITY STATEMENT: If you require special accommodations to complete this training, please contact Weatherbee Resources by calling (866) 969-7124 or emailing [email protected] or contact a faculty or staff member.

GRIEVANCES: Weatherbee Resources / Relias, LLC have a grievance policy in place to facilitate reports of dissatisfaction. Weatherbee Resources / Relias, LLC will make every effort to resolve each grievance in a mutually satisfactory manner. To report a complaint or grievance, please contact Weatherbee Resources by calling (866) 969-7124 or emailing [email protected] or contact a faculty or staff member.

All courses offered by Weatherbee Resources / Relias, LLC are developed from a foundation of diversity, inclusiveness, and a multicultural perspective. Knowledge, values and awareness related to cultural competency are infused throughout the course content.